Guidance on Reference Sources to Support the Development ......legislation, codes of practice and...

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Guidance on Reference Sources to Support the Development of Clinical Governance Systems and Structures for the Health Service Executive Home Birth Service Document reference number HB017 Document developed by Sub-Group of the Clinical Governance Group for the HSE Home Birth Service, chaired by Ms Siobhan Sweeney Revision number 2 Document approved by Clinical Governance Group for the HSE Home Birth Service, chaired by Mr Bill Ebbitt Approval date January 2018 Responsibility for implementation National Implementation Steering Group for the HSE Home Birth Service, chaired by Ms Mary Wynne Revision date January 2020 Responsibility for review and audit Clinical Governance Group for the HSE Home Birth Service

Transcript of Guidance on Reference Sources to Support the Development ......legislation, codes of practice and...

Page 1: Guidance on Reference Sources to Support the Development ......legislation, codes of practice and standards in the delivery of safe, quality services. 5.1. National Maternity Strategy

Guidance on Reference Sources to Support the Development

of Clinical Governance Systems and Structures for the Health

Service Executive Home Birth Service

Document

reference

number

HB017 Document

developed by

Sub-Group of the Clinical

Governance Group for the

HSE Home Birth Service,

chaired by Ms Siobhan

Sweeney

Revision

number

2 Document

approved by

Clinical Governance Group

for the HSE Home Birth

Service, chaired by Mr Bill

Ebbitt

Approval

date

January

2018

Responsibility for

implementation

National Implementation

Steering Group for the HSE

Home Birth Service, chaired

by Ms Mary Wynne

Revision date January

2020

Responsibility for

review and audit

Clinical Governance Group

for the HSE Home Birth

Service

Page 2: Guidance on Reference Sources to Support the Development ......legislation, codes of practice and standards in the delivery of safe, quality services. 5.1. National Maternity Strategy

PPPG Code: HB017 PPPG Title: Guidance on Reference Sources to support the development

of Clinical Governance Systems and Structures for to the Health Service Executive Home

Birth Service Revision No:2 Approval Date: January 2018 2

Table of Contents:

1. GUIDANCE STATEMENT.............................................................................. 3

2. LEGISLATION ............................................................................................ 3

3. CODES OF PRACTICE.................................................................................. 3

4. STANDARDS............................................................................................... 4

5. GUIDANCE ................................................................................................. 4

6. HSE POLICIES, PROCEDURES & GUIDELINES............................................. 6

7. NATIONAL CLINICAL GUIDELINES OBSTETRICS & GYNAECOLOGY RCPI ... 8

8. CLINICAL PROGRAMME GUIDELINES – HSE & IOG .................................... 9

9. REFERENCES AND BIBLIOGRAPHY ........................................................... 23

10. MEMBERSHIP OF WORKING GROUP ......................................................... 30

11. SIGNATURE PAGE: ................................................................................... 31

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PPPG Code: HB017 PPPG Title: Guidance on Reference Sources to support the development

of Clinical Governance Systems and Structures for to the Health Service Executive Home

Birth Service Revision No:2 Approval Date: January 2018 3

1. Guidance Statement

The information provided in this document lists the relevant reference sources to

support the development of the clinical governance systems and structures.

2. Legislation This refers to relevant acts and regulations made thereunder that provide key

legislation for the clinical governance of the Health Service Executive (HSE) Home

Birth Service.

2.1 Health Acts, 1947 to 2016 DOHC and regulations made thereunder

2.2 Nurses and Midwives Act, DOHC 2011

2.3 Maternity and Infant Care Scheme (Health Act, 2004)

2.4 National Vetting Bureau (Children and Vulnerable Persons) Acts, 2012 to

2016

2.5 Criminal Justice (Withholding of Information in Respect of Children and

Vulnerable Persons) Act, 2012

2.6 Protected Disclosures Act, 2014

2.7 Data Protection Act, 1988 and Data Protection (Amendment) Act, 2003

2.8 Freedom of Information Acts, 1997 to 2014

2.9 Notification of Births Act, 1907 and Notification of Births (Extension) Act,

1915

2.10 Judgment Title 2003: O'Brien -v- South Western Area Health Board,

Brannick -v- East Coast Area Health Board, Clarke -v- South Western Area

Health Board, Lockhart -v- South Western Area Health Board

2.11 Public Services Management Act, 2004.

2.12 Public Services Management (Recruitment & Appointments) Act, 2004

2.13 Protection of Persons Reporting Child Abuse Act, 1998

2.14 Child Care Act, 1991 and Child Care (Amendment) Act, 2015

2.15 Children First Act, 2015

2.16 Misuse of Drugs (Amendment) Regulations, 2007 (SI 200 of 2007)

2.17 The Protection of Life During Pregnancy Act, 2013

2.18 Maternity Protection (Amendment) Act, 2004

2.19 Maternity and Infant Scheme (Health Act 2004)

2.20 European Working Time Directive and the Organisation of Working Time

Act, 1997.

2.21 Safety, Health and Welfare at Work Act, 2005.

2.22 Safety, Health and Welfare at Work (General Application) Regulations,

2007

2.23 European Union (Prevention of Sharps Injuries in the Healthcare Sector)

Regulations, 2014

2.24 Guardianship of Infants Act, 1964

3. Codes of Practice

Codes of practice may be underpinned by legislation. The Self-Employed

Community Midwife (SECM) will be required to comply with all codes whether

underpinned by legislation or professional evidence base.

3.1. The Code of Professional Conduct and Ethics for Registered Nurses and

Registered Midwives (NMBI 2014)

3.2. Code of Standards and Behaviour (HSE June 2009)

3.3. Code of Practice for Healthcare Records Management Abbreviations (HSE

2010)

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PPPG Code: HB017 PPPG Title: Guidance on Reference Sources to support the development

of Clinical Governance Systems and Structures for to the Health Service Executive Home

Birth Service Revision No:2 Approval Date: January 2018 4

3.4. Code of Practice for the Governance of State Bodies (Department of

Finance 2009 to 2016)

3.5. Swift 3000 Code of Practice for Corporate Governance Assessment in

Ireland (National Standards Authority of Ireland (NSAI) 2010)

4. Standards

Organisations such as the Health Information and Quality Authority (HIQA), the

International Organisation for Standardisation (ISO) and the NMBI have

documented standards for nurses and midwives to achieve when practising

clinically.

4.1. National Standards for Better Healthcare. Dublin: Health Information &

Quality Authority (2012).

4.2. Practice Standards for Midwives (NMBI 2015)

4.3. Practice Standards and Guidelines for Nurses and Midwives with

Prescriptive Authority (ABA, 2010)

4.4. Standards and Recommended Practices for Healthcare Management

Records (HSE 2011)

4.5. ISO 31000 Risk Management Standards

4.6. ISO 9001 Quality Management Standard

5. Guidance

The Department of Health (DOH) (Ref: DOH circulars), HSE, State Claims Agency

(SCA), National Institute for Health and Care Excellence (NICE), Royal College of

Midwives (RCM), Institute of Obstetricians and Gynecologists (IOG) and the Royal

College of Obstetricians and Gynecologists (RCOG) provide guidance on policies,

procedures and guidelines to support clinical professionals to comply with

legislation, codes of practice and standards in the delivery of safe, quality

services.

5.1. National Maternity Strategy 2016-2026 (DOH 2016)

5.2. MOU and Agreement between the SECM and the HSE (HSE 2014)

5.3. State Claims Agency ‘Indemnity Statement for Self Employed Community

Midwives’ 2010 and updated 2014

5.4. The Scope of Nursing and Midwifery Practice Framework (NMBI 2015)

5.5. Recording Clinical Practice (NMBI 2015)

5.6. Guidance to Nurses and Midwives on Medication Management (An Bord

Altranais, 2007)

5.7. Guidance to Nurses and Midwives on Social Media and Social Networking

(NMBI 2013)

5.8. National Institute for Clinical and Health Care Excellence (NICE) Guidelines

for Intrapartum Care of Healthy Women and their Babies during Childbirth

Clinical Guideline 190 (NICE 2014)

5.9. Royal College of Midwives (RCM) Evidence Based Guidelines for Midwifery

Led Care in Labour (RCM 2008)

5.10. Birthplace, 2011. Birthplace in England Research Programme (Birthplace).

National Perinatal Epidemiology Unit (NPEU), Oxford

5.11. The Irish Maternity Early Warning System (IMEWS) NCEC (DOH 2014)

5.12. Communication (Clinical Handover) in Maternity Services NCEC (DOH

2014)

5.13. Sepsis Management NCEC (DOH 2014)

5.14. Delivery on Choice: Homebirth Options for Women in Ireland (HSE 2008)

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PPPG Code: HB017 PPPG Title: Guidance on Reference Sources to support the development

of Clinical Governance Systems and Structures for to the Health Service Executive Home

Birth Service Revision No:2 Approval Date: January 2018 5

5.15. A Practical Guide to Newborn Bloodspot Screening in Ireland. National

Newborn Bloodspot Screening Laboratory, Children’s University Hospital

Temple Street, Dublin, 6th Edition (HSE 2016)

5.16. HSE Universal Newborn Hearing Screening Consent Policy, Procedure,

Protocol & Guideline (HSE 2013)

5.17. HSE Universal Newborn Hearing Screening Programme National

Governance Document (HSE 2014)

5.18. National Health and Medical Research Council Joint Statement and

Recommendation on Vitamin K Administration to Newborn Infants to

Prevent Vitamin K Deficiency Bleeding in Infancy (NHMRC 2010)

5.19. Centre for Maternal and Child Enquiries (CMACE) (2011), Saving Mothers’

Lives: Reviewing Maternal Deaths to Make Motherhood Safer: 2006–2008;

Volume 118, Supplement 1; JOG.

5.20. Children First, National Guidance for the Protection and Welfare of

Children. (Department of Children and Youth Affairs 2011)

5.21. Perinatal Statistics Report (ESRI 2013)

5.22. Clinical Programme Guidelines, HSE Obstetrics & Gynaecology

5.23. Quality and Patient Safety Audit of the Compliance of Self-Employed

Community Midwives with the Memorandum of Understanding relating to

the Provision of Home Birth Services to Eligible Expectant Mothers in 2011

(HSE 2011)

5.24. The Induction of Labour, NICE Clinical Guideline 70 (2008) 5.25. Hypertension in Pregnancy, NICE Clinical Guideline 107 (2010)

5.26. Caesarean Section, NICE Clinical Guideline 132 (2011)

5.27. The Irish Maternity Early Warning System (I-MEWS) Clinical Practice

Guideline No 25, IO&G RCOP (2013)

5.28. Bacterial Sepsis following Pregnancy, Green-top Guideline No 64b RCOG

(2012)

5.29. Obesity and pregnancy clinical practice guideline, IO&G RCOP (2011)

5.30. Investigation and management of late fetal intrauterine death and stillbirth

clinical practice guideline, Guideline No. 4, IO&G RCOP (2011)

5.31. The diagnosis and management of pre-eclampsia and eclampsia clinical

practice guideline, Guideline No. 3, IO&G RCOP (2013)

5.32. Delivery after previous caesarean section clinical practice guideline,

Guideline No. 5, IO&G RCOP (2011)

5.33. Clinical practice guideline: Prevention and management of primary

postpartum haemorrhage, Guideline No. 17, IO&G RCOP (2012)

5.34. Preterm prelabour rupture of the membranes (PPROM), Guideline No. 24.

IO&G RCOP (2013)

5.35. The Birthplace in England research programme, final report part 6 from

Kings College, London

5.36. Guideline for hand hygiene in Irish healthcare settings (HPSC 2015)

5.37. Children First: National Guidance for the Protection and Welfare of

Children (HSE 2011)

5.38. Policy Statement on Fraud and Corruption – Information and Guidelines for

Staff (HSE 2015) 5.39. Report of the Maternity and Infant Care Scheme Review Group (1994)

5.40. Report to the Chief Executive Officers of the Health Boards, Domiciliary

Births Group (2004)

5.41. Guidelines for the Management of Pre-gestational and Gestational

Diabetes Mellitus from Pre-conception to the Postnatal period. Changing

Practice to Support Service Delivery, ONMSD (HSE 2010).

5.42. Institute of Obstetricians and Gynaecologists and Directorate of Clinical

Strategy and Programmes, Health Service Executive (2012) Clinical

practice guideline: Management of obstetric anal sphincter injury, Version

1.0, Guideline No. 8

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of Clinical Governance Systems and Structures for to the Health Service Executive Home

Birth Service Revision No:2 Approval Date: January 2018 6

5.43. Institute of Obstetricians and Gynaecologists, Royal College of Physicians

of Ireland and Directorate of Strategy and Clinical Programmes, Health

Service Executive (2013): The diagnosis and management of pre-

eclampsia and eclampsia clinical practice guideline Version 1.0, Guideline

No. 5

5.44. University Hospital Waterford (2014) Integrated Hospital Community

Midwifery Service: Clinical Practice Guidelines

5.45. National Maternity Hospital (2012) Clinical Practice Guidelines

5.46. Report of the Quality and Safety Clinical Governance Development

Initiative: Sharing our Learning (HSE 2014)

5.47. Postnatal Care Clinical Guideline: Routine care for women and their babies

CG No. 37, (NICE 2006)

6. HSE Policies, Procedures & Guidelines

6.1. HSE Procedure for Developing Policies, Procedures, Protocols and

Guidelines (HSE 2012)

6.2. Quality and Risk Taxonomy Governance Group Report on Glossary of

Quality and Risk Terms and Definitions (HSE 2009)

6.3. HSE Policy on Certification of Registration of Nurses and Midwives with the

Nursing and Midwifery Board of Ireland for 2015 (HSE 2014)

6.4. Safety Incident Management Policy (HSE 2014)

6.5. Guideline for Systems Analysis Investigation of Incidents (HSE 2015)

6.6. Serious Reportable Events (HSE Update in January 2015)

6.7. Risk and Incident Escalation Procedure (HSE 2010)

6.8. HSE Complaints Policy: Your Service Your Say (HSE 2017)

6.9. HSE Procedure for Notification of Home Births to the National Ambulance

Service (National Ambulance Service HSE, 2015)

6.10. National Consent Policy (HSE, 2013)

6.11. National Infant Feeding Policy for Maternity & Neonatal Services (HSE

2012)

6.12. Policy on Vitamin D Supplementation for Infants in Ireland (HSE 2010)

6.13. HSE Universal Newborn Hearing Screening Consent Policy, Procedure,

Protocol & Guideline (HSE 2013)

6.14. HSE Universal Newborn Hearing Screening Programme National

Governance Document (HSE 2014)

6.15. A Practical Guide to Newborn Bloodspot Screening in Ireland, National

Newborn Bloodspot Screening Laboratory, Children’s University Hospital

Temple Street, Dublin 5th Edition (HSE June 2011)

6.16. Vitamin K (Konakion MM® Paediatric) Prophylaxis for Newborn Infants,

Our Lady of Lourdes Hospital Maternity Unit Document RCGP 22 (HSE

2013)

6.17. Open Disclosure: National Guidelines (HSE 2013)

6.18. Manual Handling and People Handling Policy (HSE 2012)

6.19. HSE/Public Health Sector Guidance Document on Supervision for Health

and Social Care Professionals: Improving Performance and Supporting

Employees (HSE 2015)

6.20. Policy for Lone Working (HSE 2017)

6.21. Policy for the Prevention and Management of Latex Allergy (HSE 2011)

6.22. Social and Digital Media Policy and Guidance for HSE Employees (HSE

2012)

6.23. Compliance with Health Sector Pay Policy (September 2013)

6.24. Dignity at Work Policy for the Health Service (May 2009) 6.25. Disciplinary Procedure for Employees of the Health Service Executive (HSE

2007)

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of Clinical Governance Systems and Structures for to the Health Service Executive Home

Birth Service Revision No:2 Approval Date: January 2018 7

6.26. Employee Wellbeing and Welfare Strategy (HSE 2009) 6.27. Erasures and Sanctions issued by Regulatory Authorities against HSE

Employees (April 2012)

6.28. Garda Clearance of New Employees (April 2007)

6.29. Garda Vetting and Assessment of Existing Employees in the Health Service

(March 2012)

6.30. Good Faith Reporting Policy (September 2011)

6.31. Grievance and Disciplinary Procedure for the Health Service (May 2004)

6.32. Management of Professional Registers and Amendments to such Registers

(January 2010)

6.33. National Tobacco Free Campus Policy April 2012

6.34. National Transfer Policy April 2007

6.35. Policy for Preventing and Managing Critical Incident Stress (December

2012)

6.36. Policy for Prevention and Management of Stress in the Workplace

(December 2012)

6.37. Policy on Management of Work Related Aggression and Violence (October

2014)

6.38. Protected Disclosures of Information in the Workplace (March 2009)

6.39. Safeguarding Vulnerable Persons at Risk of Abuse (HSE 2014)

6.40. HSE Risk Assessment Tool and Guidance (HSE 2011)

6.41. Risk Management in the HSE: An Information Handbook (HSE 2012)

6.42. HSE Electronic Communications Policy (HSE 2013)

6.43. National Intercultural Health Strategy (HSE 2007-2012)

6.44. Health Service Executive (2011) Guide to Moving and Handling Practices

for Midwives. Dublin: HSE.

6.45. Health Service Executive (2011) Waste Management Awareness

Handbook. Dublin: HSE

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of Clinical Governance Systems and Structures for to the Health Service Executive Home

Birth Service Revision No:2 Approval Date: January 2018 8

7. National Clinical Guidelines Obstetrics & Gynaecology

RCPI

https://www.rcpi.ie/faculties/obstetricians-and-

gynaecologists/national-clinical-guidelines-in-obstetrics-and-gynaecology/

Ultrasound diagnosis of early pregnancy loss

Obesity and pregnancy

Diagnosis and management of pre-eclampsia and eclampsia

Investigation and management of late fetal intrauterine death and stillbirth

Delivery after previous caesarean section

Intrapartum Fetal Hearth Rate Monitoring

Management of Obstetric Anal Sphincter Injury

Ovarian Hyperstimulation Syndrome (OHSS) Diagnosis and Management

Management of Early Pregnancy Miscarriage

Anti D immunoglobin for the prevention of RHD Haemolytic disease of the newborn

Management of Multiple Pregnancy

Antenatal Routine Enquiry regarding Violence in the Home

Management of Pelvic Girdle Pain in Pregnancy and Postpartum

Prevention and Management of Primary Postpartum Haemorrhage

Venous Thromboprophylaxis in Pregnancy

The Management of Hypertension in Pregnancy

Methadone Prescribing and Administration in Pregnancy

Tocolytic Treatment in Pregnancy

Antenatal Magnesium Sulphate for Fetal Neuroprotection

Preterm Prelabour Rupture of membranes (PPROM)

Irish Maternity Early Warning System (IMEWS)

Investigation of Postmenopausal Bleeding

Nutrition during Pregnancy

Fetal Growth Restriction - Recognition, Diagnosis and Management

Management of Second Trimester Miscarriage

Guidelines for the Critically Ill Woman in Obstetrics

Parvovirus B19 Exposure / Infection during Pregnancy

Resuscitation for the Pregnant Women

Diagnosis and management of ectopic pregnancy

Bacterial Infections Specific to Pregnancy

Cord Prolapse

Oxytocin to Accelerate or Induce Labour

Management of Urinary Tract Infections in Pregnancy

Listeriosis in Pregnancy

Investigation and Management of Menorrhagia

Chicken Pox in Pregnancy

Hyperemesis and Nausea/Vomiting in Pregnancy

Miscarriage Misdiagnosis Report 2011

Irish Maternity Indicator System National Report 2014

Bereavement Care following Maternal Death within a Hospital Setting

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of Clinical Governance Systems and Structures for to the Health Service Executive Home

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8. Clinical Programme Guidelines – HSE & IOG

http://www.hse.ie/eng/about/Who/cspd/ncps/obstetrics-gynaecology/resources/national-clinical-guidelines/

Antenatal Magnesium Sulphate for Fetal

Neuroprotection

Format:PDF|File Size:312KB

Antenatal Routine Enquiry regarding Violence in the

Home

Format:PDF|File Size:236KB

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of Clinical Governance Systems and Structures for to the Health Service Executive Home

Birth Service Revision No:2 Approval Date: January 2018 10

Antimicrobial Prescribing Guidelines

Format:PDF|File Size:1.42MB

Antimicrobial safety In Pregnancy and Lactation

Format:PDF|File Size:988KB

Bacterial Infections Specific to Pregnancy

Format:PDF|File Size:1.23MB

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Birth Service Revision No:2 Approval Date: January 2018 12

Format:PDF|File Size:207KB

Cord Prolapse - Dr. Mary Higgins

Format:PDF|File Size:961KB

Delivery after Previous Caesarean Section

Format:PDF|File Size:228KB

Fetal Growth Restriction - Recognition, Diagnosis &

Management

Format:PDF|File Size:1.03MB

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of Clinical Governance Systems and Structures for to the Health Service Executive Home

Birth Service Revision No:2 Approval Date: January 2018 13

Final Ectopic Pregnancy Guidelines

Format:PDF|File Size:374KB

Hyperemesis and Nausea/Vomiting in Pregnancy

Format:PDF|File Size:773KB

Intrapartum Fetal Heart Rate Monitoring

Format:PDF|File Size:231KB

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of Clinical Governance Systems and Structures for to the Health Service Executive Home

Birth Service Revision No:2 Approval Date: January 2018 14

Investigation and Management of Late Fetal Intrauterine

Death and Stillbirth

Format:PDF|File Size:3.48MB

Investigation of Postmenopausal Bleeding

Format:PDF|File Size:278KB

Listeriosis in Pregnancy

Format:PDF|File Size:373KB

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of Clinical Governance Systems and Structures for to the Health Service Executive Home

Birth Service Revision No:2 Approval Date: January 2018 15

Management of Early Pregnancy Miscarriage

Format:PDF|File Size:359KB

Management of Obstetric Anal Sphincter Injury

Format:PDF|File Size:683KB

Management of Pelvic Girdle Pain in Pregnancy and

Post-Partum

Format:PDF|File Size:701KB

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of Clinical Governance Systems and Structures for to the Health Service Executive Home

Birth Service Revision No:2 Approval Date: January 2018 16

Management of Second Trimester Miscarriage

Format:PDF|File Size:704KB

Management of Urinary Tract Infections in Pregnancy

Format:PDF|File Size:643KB

Methadone Prescribing and Administration in Pregnancy

Format:PDF|File Size:278KB

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of Clinical Governance Systems and Structures for to the Health Service Executive Home

Birth Service Revision No:2 Approval Date: January 2018 17

Nutrition for Pregnancy

Format:PDF|File Size:1.79MB

Obesity and Pregnancy: Clinical Practice Guideline

Format:PDF|File Size:543KB

Ovarian Cysts in Postmenopausal Women

Format:PDF|File Size:659KB

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of Clinical Governance Systems and Structures for to the Health Service Executive Home

Birth Service Revision No:2 Approval Date: January 2018 18

Ovarian Hyperstimulation Syndrome: Diagnosis and

Management

Format:PDF|File Size:296KB

Parvovirus B19 Exposure / Infection during Pregnancy

Format:PDF|File Size:496KB

Preterm Prelabour Rupture of the Membranes

Format:PDF|File Size:324KB

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of Clinical Governance Systems and Structures for to the Health Service Executive Home

Birth Service Revision No:2 Approval Date: January 2018 19

Prevention and Management of Primary Postpartum

Haemorrhage

Format:PDF|File Size:352KB

Resuscitation for the Pregnant Woman

Format:PDF|File Size:551KB

The Diagnosis and Management of Pre-eclampsia and

Eclampsia

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Format:PDF|File Size:267KB

The Investigation and Management of Menorrhagia

Format:PDF|File Size:647KB

The Irish Maternity Early Warning System:Guidelines

Format:PDF|File Size:1.79MB

The Management of Breech Presentation

Format:PDF|File Size:491KB

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of Clinical Governance Systems and Structures for to the Health Service Executive Home

Birth Service Revision No:2 Approval Date: January 2018 21

The Manangement of Hypertension in Pregnancy

Format:PDF|File Size:727KB

The Use of Anti-D Immunoglobin for the Prevention of

RHD Haemolytic Disease of the Newborn

Format:PDF|File Size:238KB

Tocolytic Treatment in Pregnancy

Format:PDF|File Size:330KB

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of Clinical Governance Systems and Structures for to the Health Service Executive Home

Birth Service Revision No:2 Approval Date: January 2018 22

Ultrasound Diagnosis of Early Pregnancy Miscarriage

Format:PDF|File Size:270KB

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9. References and Bibliography

Alexander J, Thomas P, Sanghera J: Treatments for secondary postpartum

haemorrhage. Cochrane Database Syst Rev 2002:CD002867

Al-Zirqi I, Vangen S, Forsen L, Stray-Pedersen B: Prevalence and risk factors of

severe obstetric haemorrhage. BJOG 2008; 115:1265-72.

Aldrich, CJ, D'antona, D, Spencer, JA, Wyatt, JS, Peebles, DM, Delpy, DT and

Reynolds, EO (1995). The effect of maternal pushing on fetal cerebral

oxygenation and blood volume during the second stage of labour. Br J Obstet

Gynaecol, 102, 448-53.

American Academy of Paediatrics (2003). Controversies concerning vitamin K and

the newborn. Paediatrics 112(1) 191-192.

Begley CM, Gyte GM, Devane D, McGuire W, Weeks A. Cochrane Data Base

Systematic Review 2015.

Bhandari, V, On Tin. N, Ahmed, SR (2002) Aspiration pneumonia in association

with oral vitamin K. Archives of Disease in Childhood Fetal and Neonatal Edition

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10. Membership of Working Group The Clinical Governance Group (CGG) for the HSE Home Birth Service

commissioned a Sub-Group (members below). A final draft was produced by the

CGG members and recommended for approval to the National Implementation

Steering Group for Home Births (NISG). Following a 12 month pilot of this

document, the NISG have approved its revision and implementation.

Sub-Group Members:

Ms Siobhan Sweeney, Designated Midwifery Officer, HSE South & Project Manager

CGG (Sub-group chair)

Ms Rosemary Ryan, Head of Client Enterprise Risk Management Services, IPB

Insurance

Ms Sheila Sugrue, National Lead Midwife ONMSD

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11. Signature Page:

I have read, understand and agree to adhere to the attached document:

________________________________________________________________

Print Name Signature Area of Work Date